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1013187855
JOHN PETER VORDERBRUGGEN
DULUTH, MN
NPI
1013187855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: MN 2729202)
Enumeration Date
2008-03-07
Last Update Date
2008-03-07
Business Address
Mr. JOHN PETER VORDERBRUGGEN Optician
901 N 23RD AVE W
DULUTH, MN 55806-1244
Phone number: 218-726-0078
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Mailing Address
Mr. JOHN PETER VORDERBRUGGEN Optician
901 N 23RD AVE W
DULUTH, MN 55806-1244
Phone number: 218-726-0078
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